Evaluating for vitreous surgery used in proliferative vitreoretinopathy grade D3.

Proliferative vitreoretinopathy (PVR) is one of the main failure causes of retinal detachment repair. In this paper, 25 cases of vitreous surgery used in the PVR D3 are analyzed. The diagnosis of PVR depended on the classification of the American Retina Society Terminology Committee. Vitrectomy and peeling were carried out in all of the patients. Intraocular tamponade included silicone oil and gas tamponade. Follow-up is more than 3 months. The anatomic successful rate was 68% and 11 cases arrived 20/400 or better. The complications included vitreous hemorrhage, cataract, silicone oil into anterior chamber, PVR recurrent and so on. The authors suggest that vitrectomy combined with peeling and intraocular tamponade be key for the treatment of PVR D3. Silicone oil tamponade may improve the patients' prognosis. PVR formation is connected with the operative irritation, giant tear, trauma and vitreous hemorrhage. Adaptation and time of the vitreous surgery are discussed in this paper, too.